Provider Demographics
NPI:1982079158
Name:MASSAGING MOMENTS
Entity Type:Organization
Organization Name:MASSAGING MOMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:DANIELE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-260-3930
Mailing Address - Street 1:6760 TUSSING RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-4129
Mailing Address - Country:US
Mailing Address - Phone:614-917-0890
Mailing Address - Fax:
Practice Address - Street 1:6760 TUSSING RD
Practice Address - Street 2:SUITE 105
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-4129
Practice Address - Country:US
Practice Address - Phone:614-917-0890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty